| Entity Name: | ALBERT RUIZ, DDS FAMILY & COSMETIC DENTISTRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Dec 2005 (19 years ago) |
| Document Number: | L05000117451 |
| FEI/EIN Number | 20-3941104 |
| Address: | 529 U. S. HWY 27 SOUTH, SEBRING, FL 33870-2108 |
| Mail Address: | 529 U. S. HWY 27 SOUTH, SEBRING, FL 33870-2108 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356353098 | 2006-08-12 | 2020-08-22 | 529 US HWY 27 SOUTH, SEBRING, FL, 338702108, US | 529 US HWY 27 SOUTH, SEBRING, FL, 338702108, US | |||||||||||||||||||||||||||||||
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| Phone | +1 863-385-6200 |
| Fax | 8633860770 |
Authorized person
| Name | DR. ALBERT RUIZ |
| Role | OWNER |
| Phone | 8633856200 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN0012784 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 69077 |
| State | FL |
| Issuer | UNITED CONCORDIA |
| Number | 706644 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RHOADES, CLIFFORD R | Agent | 227 NORTH RIDGEWOOD DRIVE, SEBRING, FL 33870 |
| Name | Role | Address |
|---|---|---|
| RUIZ, ALBERT | Managing Member | 529 U. S. HWY 27 SOUTH, SEBRING, FL 33870 |
| RUIZ, OLGA | Managing Member | 529 U. S. HWY 27 SOUTH, SEBRING, FL 33870 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-22 | 529 U. S. HWY 27 SOUTH, SEBRING, FL 33870-2108 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-22 | 529 U. S. HWY 27 SOUTH, SEBRING, FL 33870-2108 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-03-03 |
| ANNUAL REPORT | 2020-02-20 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-04-06 |
| ANNUAL REPORT | 2015-02-17 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
